Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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East Texas Family Support Clinic

Organization Multi-Specialty Clinic/Center · NPI 1699315499

East Texas Family Support Clinic is a Multi-Specialty Clinic/Center in Tyler, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1305 Doctors Dr
Tyler, TX 75701-2263
Phone: (903) 525-9397
Fax: (903) 525-9398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1699315499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Blake — Owner · (954) 557-2775
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing address1305 Doctors Dr, Tyler, TX 75701-2263

Other providers in Tyler